Spatial analysis of the tuberculosis treatment dropout, Buenos Aires, Argentina

Revista de Saúde Pública

María Belén Herrero¹  Silvina Arrossi¹  Silvina Ramos¹  Jose Ueleres Braga¹ 

关键词: Tuberculosis;    drug therapy;    Medication Adherence;    Socioeconomic Factors;    Health Inequalities;    Ecological Studies;    Tuberculosis;    quimioterapia;    Cumplimiento de la Medicación;    Factores Socioeconómicos;    Desigualdades en la Salud;    Estudios Ecológicos;   

DOI  :  10.1590/S0034-8910.2015049005391

来源: SciELO

【 摘 要 】

OBJECTIVE Identify spatial distribution patterns of the proportion of nonadherence to tuberculosis treatment and its associated factors.METHODS We conducted an ecological study based on secondary and primary data from municipalities of the metropolitan area of Buenos Aires, Argentina. An exploratory analysis of the characteristics of the area and the distributions of the cases included in the sample (proportion of nonadherence) was also carried out along with a multifactor analysis by linear regression. The variables related to the characteristics of the population, residences and families were analyzed.RESULTS Areas with higher proportion of the population without social security benefits (p = 0.007) and of households with unsatisfied basic needs had a higher risk of nonadherence (p = 0.032). In addition, the proportion of nonadherence was higher in areas with the highest proportion of households with no public transportation within 300 meters (p = 0.070).CONCLUSIONS We found a risk area for the nonadherence to treatment characterized by a population living in poverty, with precarious jobs and difficult access to public transportation.

【 授权许可】

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